2010年至2011年中国东部与西部地区成人肱骨远端骨折的流行病学对比分析  

Epidemiological comparison of adult fractures of distal humerus between east and west China from 2010 to 2011

作　　者：陈霄[1] 刘勃[1] 李佳[1] 李石伦 郭家良[1] 田野[1] 张飞[1] 杨光[1] 刘松[1] 朱燕宾 张英泽[1] Chen Xiao;Liu Bo;Li Jia;Li Shilun;Guo Jialiang;Tian Ye;Zhang Fei;Yang Guang;Liu Song;Zhu Yanbin;Zhang Yingze(Department of Orthopaedics, Key Laboratory of Orthopaedic Biomechanics of Hebei Province, The Third Hospital to Hebei Medical University, Orthopaedic Research Institution of Hebei Province, Shijiazhuang 050051, China（)

机构地区：[1]河北医科大学第三医院骨科、河北省骨科研究所、河北省骨科生物力学重点实验室,石家庄050051

出　　处：《中华创伤骨科杂志》2018年第5期425-429,共5页Chinese Journal of Orthopaedic Trauma

摘　　要：目的 对比分析我国东部地区与西部地区成人肱骨远端骨折的流行病学特征. 方法 回顾性分析2010年1月至2011年12月期间我国东部地区与西部地区63家医院诊治的成人肱骨远端骨折患者资料.将我国东部地区35家医院患者资料定为A组,西部地区28家医院患者资料定为B组,对比分析两组患者的性别、年龄及骨折AO分型等数据. 结果 共收集2 668例成人肱骨远端骨折患者,A组1 852例,中位年龄为42岁（四分位数间距为33岁）,高发年龄段为21 ～ 30岁,男女比为1.18：1;B组816例,中位年龄为37岁（四分位数间距为27岁）,高发年龄段为31 ～40岁,男女比为1.80：1.A组患者男女比显著低于B组患者,中位年龄显著高于B组患者,差异均有统计学意义（P＜0.05）.A组16～20岁、31 ～40岁年龄段患者构成比显著低于B组,而≥61岁年龄段患者构成比显著高于B组,差异均有统计学意义（P＜0.05）.骨折AO分型：13-A型骨折1 399例（52.44％）,13-B型骨折682例（25.56％）,13-C型骨折587例（22.00％）.A组患者13-A型、13-A1型骨折患者构成比显著低于B组患者,差异均有统计学意义（P＜0.05）. 结论 肱骨远端骨折多发生于21 ～ 40岁年龄段,多见于男性,以13-A型关节外骨折多见.东部地区患者中位年龄及女性患者所占比例显著高于西部地区,13-A1型骨折患者构成比显著低于西部地区.Objective To compare and analyze the epidemiological features of adult patients with distal humerus fractures between the east and west China from 2010 to 2011.Methods The data of adult patients with distal humerus fracture treated from January 2010 to December 2011 in 63 hospitals in the east and west China were collected through the PACS system and case reports checking system.The data from 35 hospitals in the east China were classified as group A,and those from 28 hospitals in the west China as group B.The analytic items included gender,age and AO/OTA classification.Results A total of 2,668 cases were collected.The median age of the 1,852 cases in group A was 42 （IQR：33） years old.The high peak age ranged from 21 to 30 years old;the gender ratio of group A was 1.18：1.The median age of the 816 cases in group B was 37 （IQR：27） years old.The high peak age ranged from 31 to 40 years old;the gender ratio of group B was 1.80：1.Group A had a significantly lower gender ratio but a significantly higher median age than group B （P ＜ 0.05）.The proportions of patients from 16 to 20 and from 31 to 40 years old in group A were significantly lower than those in group B but the proportion of patients aged above 61 years old in group A was significantly higher than that in group B （P ＜ 0.05）.According to the AO/OTA classification,1,399 cases （52.44％） were type 13-A,682 ones （25.56％） type 13-B and 587 ones （22.00％） type 13-C.The proportions of type 13-A and type 13-A1 in group A were significantly lower than in group B （P ＜ 0.05）.Conclusions Fractures of the distal humerus mostly occurred in the age range from 21 to 40 years old and in males.Type 13-A fractures were the most common.The east China had a significantly higher proportion of female patients,an older median age and a lower proportion of type 13-A1 fracture than the west China.

关 键 词：肱骨骨折 流行病学 病例对照研究 成年人 

分 类 号：R181.3[医药卫生—流行病学] R683[医药卫生—公共卫生与预防医学]